HomeMy WebLinkAbout12679-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate O[ Occupancy
No. Z154.18 Date March 23, 1987
THIS CERTIFIES that the building D e c k
Location of Property 700 LEETON DRIVE SOUTHOLD
House No. Street Ham/et
County Tax Map No. 1000 Section .q 5. .9 ........ Block .. I .Lot 6
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Oct. 4, 1983 12679z
., pursuant to which Building Permit No.
dated . .O.q t.: .1 .l.,. ! .9 .8.3 ................ was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is
Deck addition to existing one family dwelling.
The certificate is issued to ZAFAR G~ AND KHEM FATIMI
..................... ioYn' ;, .....................
of the aforesaid building.
Suffolk County Department of Health Approval .... .N./.A. ..................................
UNDERWRITERS CERTIFICATE NO. ;': ...... .-:..Iq./. 6 ..................................
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
Rev. 1/81
~o~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
12679 Z
Permission is hereby granted to:
· ',&~
...5~...........~.~....~ ........................................
...~.~..~,...L.~..~ ........................................
~-~,~ ,_o~,.~ ~......~ ~.
. ...,.~.,....-......-...= .................. ., .... ~.....~.~. ~. .
,o ...~~...~.~;......~,c~...~..,......~ .......
at premises located at .....~..~).~....~..~.i.~./~1~. ........ .~..~ ..~... ..............
County Tax Map No. 1000 Section .... .~....~.~...~. ...... Block ......... I ............ Lot No ....... ~. ..............
pursuant to application dated ..(~...~.....~. .................. , 19.~.~1., and approved by the
Building Inspector.
Fee $ ......................
Building Inspector
Rev. 6/30/80
TOWN of SOUTHOLD
OFFICE OF BUILDING INSPECTOR
r Town Hall
Receipt [~I~O, 3 1 5 ~ ~ Southold, New York 11971
Date ...................
eceived of .....-- --" .41--"~"~'~"'"'~-"~" "¢'~:'";°'"~'~/;"~ ...............................................................................
........................... ~"~'"'"~"~ ............... ~' "/' .......... ~'r'~ ............................................. /100 Dollars
- ~r"~, ~ ~- ,. e.
.......... ......... ....................... ............ ......................
Fee for al
Fee for Fee for Fee for r._.j~ficat~
~ Yard Sale [] [] [] H.I.C. r-~ Buildiqg Permit L_~.J of Occupancy [~ Misc.
[] Cash a-
..... ....................
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
~.~ required to prepare a certificate.
c. B"'?: ' '
'~l. Certificate of occupancy New I)welling,$25.00, Acce,~,~ory ~$10.00 ~us~ne,~s $50.00
2, Certificate of occupancy on pre*existing dwelling $ 5 0,0 0
3. Copy of cortiflcate of occupancy $ 5.'00, over 5 years $10,00
4.Vacant Land C.O. $ 20.00
5.Updated C,.O. $ 50.00 Date ..........................
6. hlteratlon $25.00
NewCons tr'uc t, ton ...... Old or Pre.e~xlsting Building ............ Vacant Land ........ % ....
Location of Propert ¢ ...................... ...., . - ., .. · · ,...,
Owner or Owners of Property . ; ........... ;, ' ...........................
County Tax Map No. 1000 Section ............... Block ............... Lot ................
'~ ' ' ' No .......... ,.Lot No., .......
oubdtws~on ................................. Filed Map , . . .....
Permit No./.~, ~. ,'7.~Z. Date of Permit., plicant ........ (~. ........................
Health Dept Approval Labor Dept Approval .
Underwriters Approval ........................ Planning Board Approval ......................
Bequest for Temporary Certificate ..................... Final Certificate .......................
Fee Subm,ttad $ (2~ ~"" ~'~
above described building bnd permit meets ~_[~Eli.c,~'bl.o-codes and regulations.
Construction on
App can . /~, ,; ........................
Ilev. 10.10.78
765-1802
BUILDING DEPT.
INSPECTION~
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
[ ] FRAMING
REMARKS: ~/~~
[ ] FINAL
INSPECTOR
~ FiE£,D~ '~
INSPECTION
COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
Se
INSULATION PER N.
STATE ENERGY
20DE
ADDITIONAL COMMENTS:
NEX~ YOPd[ STAT~ DEPART,.~NT OF ENVIP, ONMENTAL CONSEF~VATION
R~gulato~ Affairs Unit ....
Bldg. 40, SU~Y--Room 2~9 ..... ~
Stony Bronx.,. ~ '1X794
_.. .... ~i6) 751-7900
S.D.W. Builders Ltd.
P.O. Box 199
Brookhaven, N.Y. 11719
(516-286-2026)
October 4, 1983
1~: Zafar Patimi ?roperty (SCTM # 1000-59-1-6)
Dear Sirs:
A review has been made of your proposal to: construct a 1,300 sq.
cedar deck, on grade, on the rear of the existing house.
ft.
open
Location: Leeton Drive, Southold
New York State Department of Environmental Conservation has found the
~parcel ,~XX project to be:
· Greater than 300' from inventoried tidal wetlands.
_ X Landward of a substantial man-made structure (concrete seawall)
greater than 100' in length constructed prior to September 20, 19~"7.
Landward of 10' contour elevation above mean sea level on a gradual, nat-
ural slope.
..... Landward*of topographical crest of bluff, cliff or dune in excess of 10
feet in elevation above mean sea level.
Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental
Conservation Law) is required at this time since the current proposal is beyond
State mandated J~risdiction pursuant to this act. However, any additionalwork
or modifications to the project may require a permit. It is your responsibility
to notify this office, in writing, if such additional work of modifications are
contemplated.
Very truly yours,
Damiel d. Larkin
Regional Supervisor of
Bmgulatory Affairs
DJL:RNT:cz
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved .O.q-~N~.....I.I.., 19~. Permit No. I ~..[0~.~ .~
Received .......... ,19...
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .. D, CT o..4. ......... 195.~.
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or fox removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulation_s, and to
admit authorized inspectors on premises and in building for necessary inspections.
SDW ]~UILDERS
(Signature of applicant, or name, if a corporation)
..... . 9.x. . ! 74 9
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................ k 77 PE .( 97.q . ) .....................................
Name of owner of premises . .~.P.~ ~ . .Z.A.~A..R..F.A.¢: .I[~.I ......................................................
(as on the tax roll or latest deed)
I:~;~/~..s~.~~lfy authorized officer.
nd title o~ ~orporate of~;r) ....
Builder's License No. 5.0.U. TH.~.t.O.I~.D.. ~.I. I, ISCLNSE AP?LIE1) FOR
Plumber's License No ............... ...,rd. .....
Electrician's License No
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
~00 LEETON ~RIVE SOUTHHOL~
House Number Street Hamlet
County Tax Map No. 1000 Section 059 Block 1 Lot .6.
~O.U?EHOID ON TI-IE ~;0UND p N
Subdivision ................................... Filed Na o ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy SINOL~ .F~. ~'?J,Y. ~.E~ !DFN. Q~ ....................
b. Intended use and occupancy ........... ~. fi~ l,j~? . . . .*a~....~..~s~.~....~. t~.~.. ~ // ,-~r_!, ]. ~-~ ...............
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteratic~ ..........
Repair '~))'S'~I~I)~¥ '~ l~e~)°(~als0':~T'.' 'D~0IC ' Demolition .............. Other Work ...............
(Description)
4. Estimated Cost ... '~. fi.P:,9.0.q: .09 ...................... Fee ......................................
(to be paid on filing this application)
5· If dwelling, number of dwellingiunits ..... .- ......... Number of dwelling units on each floor. ~' ..............
If garage, number of cars .... ?... 7. ............................... ; ..............................
6. If business, co mercml or m~xed occupancy, specify nature and extent of each type of use . .'~ ......
7. Dimensions of existing structures if an ' Front.. ~5' Rear 85' n~,~th ~)'~' ' i' i ....
Height .... 1.~ ~. ........ Number of Stories ........ ? .......
Dimensions of same structure With alterations or additions: Front .. Rear .. SA.i~J~
Depth .~.~ ............. i.. Height .S.A.i~..E ................. Number of Stories .... ~ .................
8. Dimensions of entire new construction: Front . .NA ........... Rear ............... Depth ...............
ight mb
9. Size of lot: Front .. '17.~~ pth ~ ~ .....
..... ~ ........... Rear ................... De ..................
10. DateofPurchase ~/~2 . . Same ofEormer._@vn~. .y .~ ..............
11. Zone or use district in which premises are situated...3.~.0.0.~.. ~.0
12. Does proposed construction violate any zoning law, ordinance or regulatini:' i i
13. Wlil lot be regraded ... ~.0...; ................... Will excess fill be removed from premises: Yes X No
14. Name of Owner of premise~p,~ I ZA3~:AR. F,L5 I~VlJ_... AddresS3..S.,~O~/~':J-{Ij$..R.~... Phone No.U...i?I..'.· ...........
Name of Architect ......... i ................. Address .... I~.t,, .L.I?.O.~? ...... Phone No ..............
.. 286-2026 '
Name of Contractor,S/. ]}JJ. II-~F~.S..~D. ..... Addres~PO 30× 199 .. . Phone ~o ...... '..: ......
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block~number or descripti.~n according to dge.~l and show street names and indicate whether
interior or corner lot. .!. ~ ~ ~,~r, ~ -
~'~'~ oa ~,~ .... '"Ti~-
STATE OFNEW YoORK, is S
COONT¥OF .~'~..?-~9.c.~.~.. a'a
(Name of individual sig~ing contract)
above named.
o
Z)/.~77. I
being duly sworn, deposes and says that he is the applicant
He is the ........... CONCRAC~gR ..................................................................
~ (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application i that all statements conthined in this application are true to the best of his knowledge and belief; and that the
work will b~ performed in the manner set forth in the application filed therewith·
Sworn to before me this
...........C2...: ..............
ota, ,,ublic, i · ...... Co.nty
(Signature of applicant)'
Z